| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $4,254.82 | $4,254.82 | $4,254.82 | |
Priority Health
| Facility | $4,254.82 | $4,254.82 | $4,254.82 |
Level 2 Upper GI Procedures
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $4,254.82 | $4,254.82 | $4,254.82 | |
Priority Health
| Facility | $4,254.82 | $4,254.82 | $4,254.82 |